Provider Demographics
NPI:1508221524
Name:YURI J RAMOS
Entity Type:Organization
Organization Name:YURI J RAMOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COMPANY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-702-9441
Mailing Address - Street 1:777 E 25TH ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3825
Mailing Address - Country:US
Mailing Address - Phone:305-702-9441
Mailing Address - Fax:305-702-9442
Practice Address - Street 1:19500 W OAKMONT DR
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-2031
Practice Address - Country:US
Practice Address - Phone:305-702-9441
Practice Address - Fax:305-702-9442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96924174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278192100Medicaid
FL278192100Medicaid